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Individual

GAIL ANN LORETH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1735 ADKINS ST, EUGENE, OR 97401-5003
(541) 683-5032
Mailing address
563 E 1ST ST, LOWELL, OR 97452-9727
(941) 356-7080

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9741
OR
225200000X
Physical Therapy Assistant
PTA-19954
FL

Other

Enumeration date
04/28/2022
Last updated
04/28/2022
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